| NPI | 1952783748 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TAO CHEN Physician/Owner 251-478-4900 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL MD.29601) | 
| Enumeration Date | 2015-06-29 | 
| Last Update Date | 2023-10-02 |